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目的:比较药物治疗与布比卡因局部阻滞治疗输尿管上段结石所致的肾绞痛的临床疗效。方法:选择输尿管结石患者共120例。随机分成药物治疗组(M组)与局部阻滞组(B组)各60例,其中药物治疗组采用杜冷丁加阿托品治疗,局部阻滞组采用布比卡因行痛区局部阻滞,两组年龄、性别均无统计学差异,比较两组患者治疗的总有效率、不良反应、镇痛起效时间、缓解时间等疗效指标。结果:局部阻滞组治疗的总有效率大于药物治疗组,不良反应也比药物治疗组少。疼痛起效时间及缓解时间,局部阻滞组均明显短于药物治疗组。结论:布比卡因局部阻滞治疗输尿管上段结石所致的肾绞痛临床疗效明显优于以杜冷丁加阿托品为代表的药物治疗。
OBJECTIVE: To compare the clinical effects of drug therapy and local blockade of bupivacaine in the treatment of renal colic caused by upper ureteral calculi. Methods: A total of 120 patients with ureteral calculi were selected. Randomly divided into drug treatment group (M group) and local block group (B group) of 60 cases, of which drug treatment group were treated with pethidine plus atropine, local block group with bupivacaine pain block local block, two There was no significant difference in age and sex between the two groups. The total effective rate, adverse reactions, onset time of analgesia and the time of remission were compared between the two groups. Results: The total effective rate of local block group was higher than that of drug-treated group, and adverse reaction was less than that of drug-treated group. Pain onset time and remission time, local block were significantly shorter than the drug treatment group. Conclusion: The clinical efficacy of local anesthesia with bupivacaine in the treatment of renal colic caused by upper ureteral calculi is obviously better than that with pethidine plus atropine.